Effect of Soybean Intake on Bone Mineral Density and Bone Turnover Markers in Postmenopausal Women

콩 섭취가 폐경 후 여성의 골밀도 및 골대사 지표에 미치는 영향

  • Published : 2006.10.31

Abstract

Objective: The purpose of this study was to evaluate the effects of soybean intake on bone mineral density and bone turnover markers in postmenopausal rural Korean women. Method: This study was carried out during nine months from Oct. 25 2004 to Aug. 31 2005. The subjects of this study were female patients over 50 living in rural areas diagnosed with osteoporosis. There were 18 women in the experimental group and 20 in the control group. In this study, the experimental group received 100 mg of isoflavone (soybean) and calcium 1,500 mg for nine months while the control group received 1,500mg of calcium only. Results: After the soybean intake, the change of bone mineral density between the experimental group and control group was statistically significant. However, the bone turnover markers of osteocalcin and deoxypyridinoline between the experimental group and control group were not significantly different statistically. In the Pearson Correlation between bone mineral density and bone turnover markers, the osteocalcin and deoxypyridinoline of the experimental group had a positive correlation, and osteocalcin and DPD/osteocalcin ratio had anegative correlation. In the control group, osteocalcin and DPD/osteocalcin ratio had a negative correlation. Conclusions: This result showed that soybean intake changed bone mineral density in postmenopausal woman.

Keywords

References

  1. Adlercreutz H., Hamalainen, E., Gorbach, S., and Goldin, B. (1992). Dietary phyto-oestrogens and the menopause III Japan. Lancet, 339(1233), 210-223
  2. Back, S. S. (1998). An analysis of the relationship of menopausal symptoms of midlife women between urban area and rural area. Korean J Women Health Nurs, 4(3), 332-347
  3. Chesnut, C. H., Bell, N. H., & Clark, G. S. (1997). Hormone replacement therapy in postmenopausal women : Urinary N-telopeptide of type I collagen monitors therapeutic effect and predicts response of bone mineral density. Am J Med, 102, 29-377 https://doi.org/10.1016/S0002-9343(96)00387-7
  4. Franke, A. A., Custer, L. J., Cerna, C. M., & Narala, K. K. (1995). Rapid HPLC analysis of dietary phytoestrogens from legumes and from human urine. Proc Soc Exp Bio Med, 208, 18-26
  5. Im, H. S., Kim, D. S., & Kim, D. H. (2000). A study of health promotion behavior in farming people. J Korean Rural Med, 25(2), 327-342
  6. Kelly, G. A. (1998). Aerobic exercise and bone density at the hip in postmenopausal women : A meta-analysis. Prev Med, 27(6), 798-807 https://doi.org/10.1006/pmed.1998.0360
  7. Kim, B. S. (2001). Menopausal women and activity. J Korea Soc Health Promot, 1(1), 1-7
  8. Kim, E. S., Lee, T. Y., Lee, D. B., Lee, S. G., Park, M. C. & Hwang, I. T. (2001). Effect of alcohol drinking on bone mineral density and serum estradiol level in postmenopausal women. J Korea Soc Menopause, 7(2), 143-153
  9. Kim, S. W. (2002). Clinical utilization of biochemical bone-mark after treatment of bone-absorption restraint among osteosis of Postmenopausal Women. Unpublished master's thesis, Seoul National University, Seoul
  10. Korea National Statistical Office, 2005. http://www.kosis.nso.go.kr/cgi_bin/sws_999.cgi
  11. Kosking, D., Chilvers, C. E. D., Christiansen, C., Ravn, P., Wasnich, R. &, Ross, P. (1998). The postmenopausal intervention cohort study group. N Eng J Med, 338, 485-492 https://doi.org/10.1056/NEJM199802193380801
  12. Krane, S. M., & Holick, M. F. (1998). Metabolic bone disease-Harrison's principles of internal medicine. New York : McGrow-Hill Co
  13. Lee, H. R., & Kim, S. Y. (2001). The effect of education for prevention of osteoporosis patients with bone fracture. J Korean Acad of Nurs, 31(2), 194-205 https://doi.org/10.4040/jkan.2001.31.2.194
  14. Lee, M. H., Park, Y. H., Oh, H. S., & Kwak, T. S. (2002). Isoflavone content in soybean and its processed products. Korean J Food Sci Technol. 34(3), 365-369
  15. Messina, M. J., & Loprinzi, C. L. (2001). Soy for breast cancer survivors : A critical review of the literature. J Nutr, 131, 3095S-3108S
  16. Ministry of Health and Welfare Republic of Korea. (2004). Yearbook of Health and Welfare Statistics
  17. NOF(National Osteoporosis Foundation). (1998). Fast facts on osteoporosis. Retrieved October 30, 2004, from http://www.nof.org/osteoporosis/diseasefacts.htm
  18. Oh, H. J., Oh, J. G., & Lee, D. B. (2001). Changes of markers of bone turnover and spinal BMD after 1 year treatment according to treatment strategies & predictability of changes of BMD by changes of bone markers in Korean postmenopausal women with osteoporosis. J Korean Acad Fam Med, 22(8), 1234-1246
  19. Oh, H. S., Park, Y. H., & Kim, J. H. (2002). Iso flavone contents, anti oxidative and fibrinolytic activities of some commercial cooking-with-Rice soybeans. Korean J Food Sci Technol, 34(3), 498-504
  20. Pan, Y., M. S. Anthony, M. Binns, & T. B. Clarkson. (2001). A comparison of oral micronized effects on tail skin temperatures of ovariectomized rats. Menopauses, 8, 171-174 https://doi.org/10.1097/00042192-200105000-00005
  21. Park, H. M., Seo. Y .S., & Hur. M. (1998). The distribution and transition of postmenopausal population in Korea. J Korean Menopause, 4(1), 61-71
  22. Park, H. S. (2003). Effects of soybean foods intake on menopausal symptoms, serum hormones, serum lipids, and bone metabolism in middle-aged women. Unpublished doctoral dissertation, Ewha Womans University, Seoul
  23. Park, M. H. (2000). A study on dietary isoflavone in tab, serum and urinary isoflavone concentrations, and BMD(bone mineral density) in korean postmenopausal women. Unpublished master's thesis, Sookmyung Women's University, Seoul
  24. Potter, S. M., Baum, J. A., Teng, H., Stillman, R. J., & Shay, N. F. (1998). Soy protein and isoflavones their effects on blood lipids and bone density in postmenopausal women. Am J din. Nutr 68, 1375s-1379s
  25. Riggs, B. L., & Melton, L. J. (1992). The prevention and treatment of osteoporosis. NEJM, 327, 620-627 https://doi.org/10.1056/NEJM199208273270908
  26. Scheiber, L. B., & Torregrosa, L. (1998). Evaluation and treatment of postmenopausal osteoporosis. Semin Arthritis and Rheum, 27, 245-261 https://doi.org/10.1016/S0049-0172(98)80004-8
  27. Shin, M. H. (2001). Quantitative ultrasound for osteoporosis screening in postmenopausal women. Unpublished master's thesis, Chonnam National University, Gwangju
  28. Stevensen, J. C., Hillard, B., Lees, S. I., & Whitcroft, M. C. (1993). Postmenopausal bone loss : Dose HRT always work. Int J Fertil Menopausal Stud, 36(suppl.2), 88-91
  29. Uebelhart, D., Schlemmer, A., Johansen, J. S, Gineyts, E., Christiansen, C., Delmas, P. D. (1991). Effect of menopause and hormone replacement therapy on the urinary excretion of pyridinium cross-links. J Clin Endocrinol Metab, 72, 367-73 https://doi.org/10.1210/jcem-72-2-367